Objective To summarize the common reasons for postoperative revision of artificial hip joint replacement and handling experience and they can provide theoretical reference for clinical prosthesis selection. Methods 59 cases of pa-tients who were given first revision of artificial hip joint replacement after operation from March 2010 to May 2015 were se-lected, their preoperative and postoperative hip joint functions were scored by Harris and they were followed up for 6 months to 96 months. Results The reasons for 59 cases of patients given first revision of artificial hip joint replacement were as follows: 35 cases was aseptic loosening (59.3%), 14 cases were prosthetic dislocation (23.7%),7 cases were loosen-ing after infection (11.9%)3 cases were acetabular wear (5.1%). The Harris score of the group of patients increased from (35.6±3.2)of preoperative to (89.8±4.7)of postoperative, The satisfactory rate was 93.2% (55/59). Conclusion The most common cause of postoperative revision of artificial hip joint replacement is aseptic loosening, it is supposed to choose dif-ferent prosthesis types according to acetabular wear situation and it is beneficial to improve the clinical curative effect of postoperative revision.%目的：总结人工髋关节置换术后翻修的常见原因和处理经验，对临床假体选择提供理论参考。方法整群选择该院2010年3月—2015年5月行人工髋关节置换术后初次翻修59例，采用Harris评分术前和术后髋关节功能，随访6~96个月。结果59例患者行人工全髋关节置换术后翻修的原因：无菌性松动35例（59.3%），假体脱位14例（23.7%），感染后松动7例（11.9%），髋臼磨损3例（5.1%）。该组患者Harris评分由术前的（35.6±3.2）分上升到术后的（89.8±4.7）分，满意率为93.2%（55/59）。结论人工髋关节置换术后翻修的最常见的原因是无菌性松动，术中应根据髋臼磨损情况选择不同的假体类型，有利于翻修术后的临床疗效。
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